Because there are currently no nationally accepted protocols to which states can refer, each state that has enacted statewide protocols has done so through its own process which may be subjected to political pressures. As a result, several existing statewide protocols have carved out specific services or medications that are rooted in evidence-based clinical guidelines. Through this projectconsisting of a collaboration between the National Association of Boards of Pharmacy NABP and the National Alliance of State Pharmacy Associations NASPA, we propose to develop nationally accepted protocols that could be used or referenced by state boards of pharmacy. The content of the protocols would be developed using evidence-based guidelines by clinical experts. The protocols would be reviewed annually and updated as needed to stay up to date with clinical guidelines. The protocols would be maintained and published in a central, repository so that state boards and state policy makers could refer to the protocols in their legislative and regulatory language.